Sciatica

Sciatica is a common condition that can disrupt everyday life, and often stems from underlying conditions. Knowing what causes sciatica and your treatment options is an important step towards relief. 

Sciatica is pain that travels along the sciatic nerve, which runs from your lower back through your hips and legs. It happens when a herniated disk or a narrowing in the spine presses on or irritates this nerve.

Most people describe sciatica as a sharp, burning, or shooting pain that starts in the lower back or buttock and radiates down one leg, sometimes reaching the foot. It can also cause numbness, tingling, or muscle weakness in the affected leg. 

POSH specialists offer a range of treatments to help patients manage leg pain and sciatica, including both nonsurgical and surgical options tailored to each patient’s individual needs.

Sciatica typically develops when nearby tissue puts pressure on the sciatic nerve. Common causes include:

  • Herniated or bulging disks
  • Spinal stenosis, or narrowing of the spinal canal
  • Bone spurs
  • Age-related wear on the spine
  • Injury or trauma to the spine

Diagnosing sciatica starts with a thorough evaluation by a POSH spine specialist. Our specialists typically evaluate patients by:

  • Physical exam. Our specialists will review your medical history and assess your symptoms and physical condition to help identify the underlying cause.
  • Imaging tests. X-rays or MRI scans give our specialists a detailed look at your spine and surrounding structures, helping confirm a diagnosis.
  • Diagnostic tests. This may include specialized tests such as an Electromyography/Nerve Conduction study, also known as an EMG/NCV, which looks at the functioning state of the nerves in question.

POSH specialists work alongside a multidisciplinary team to deliver nonsurgical treatments for leg pain and sciatica. Together, these options are designed to ease your symptoms and help you move more comfortably without surgery.

  • Physical therapy
  • Anti-inflammatory medications (ibuprofen or acetaminophen)
  • Activity modification

When nonsurgical methods do not provide sufficient relief, a POSH specialist will discuss surgical options, which may include:

  • Minimally Invasive Surgery: Procedures such as microdiscectomy and endoscopic discectomy can relieve pressure on the sciatic nerve by removing herniated disc material and other compressive tissue, such as bony overgrowths.
  • Disc Replacement Surgery: This involves replacing a damaged disc with an artificial one, which can alleviate pain and restore function. Artificial disc replacements can be a great alternative to fusion procedures for the right patient.

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